Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging
This was a controlled cross-sectional study to investigate the prevalence of dysbaric osteonecrosis (DON) in military divers. MRI examinations of the large joints and adjacent bones were performed in a cross-sectional group of 32 highly experienced military divers and 28 non-divers matched for age a...
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| Veröffentlicht in: | European radiology 2005-02, Vol.15 (2), p.368-375 |
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| creator | Bolte, H Koch, A Tetzlaff, K Bettinghausen, E Heller, M Reuter, M |
| description | This was a controlled cross-sectional study to investigate the prevalence of dysbaric osteonecrosis (DON) in military divers. MRI examinations of the large joints and adjacent bones were performed in a cross-sectional group of 32 highly experienced military divers and 28 non-divers matched for age and anthropometric data. Additional plain radiographs and follow-up controls were performed in all persons with signs certain or suspicious of DON. In two subject groups (one of divers and one of non-divers), lesions characteristic of DON were detected. From this controlled study, it may be concluded that MRI is a highly sensitive method to detect signs of osteonecrosis. It could be shown that the prevalence of bone lesions characteristic of osteonecrosis in highly experienced military divers is not higher than in non-diving subjects of comparable age. The outcome of this comparably small study group fits to the results of previous extensive studies performed with radiographs. The detected low incidence of DON in this collective may be due to the fact that military divers follow stricter selection criteria, decompression schemes and medical surveillance than commercial divers. |
| doi_str_mv | 10.1007/s00330-004-2452-8 |
| format | Article |
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MRI examinations of the large joints and adjacent bones were performed in a cross-sectional group of 32 highly experienced military divers and 28 non-divers matched for age and anthropometric data. Additional plain radiographs and follow-up controls were performed in all persons with signs certain or suspicious of DON. In two subject groups (one of divers and one of non-divers), lesions characteristic of DON were detected. From this controlled study, it may be concluded that MRI is a highly sensitive method to detect signs of osteonecrosis. It could be shown that the prevalence of bone lesions characteristic of osteonecrosis in highly experienced military divers is not higher than in non-diving subjects of comparable age. The outcome of this comparably small study group fits to the results of previous extensive studies performed with radiographs. The detected low incidence of DON in this collective may be due to the fact that military divers follow stricter selection criteria, decompression schemes and medical surveillance than commercial divers.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-004-2452-8</identifier><identifier>PMID: 15490180</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Bone lesions ; Bones ; Cross-Sectional Studies ; Decompression ; Decompression Sickness - diagnosis ; Diving - adverse effects ; Group dynamics ; Humans ; Lesions ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Military ; Military Personnel ; Necrosis ; Occupational Diseases - diagnosis ; Osteonecrosis ; Osteonecrosis - diagnosis ; Osteonecrosis - etiology ; Radiographs ; Radiography ; Statistics, Nonparametric</subject><ispartof>European radiology, 2005-02, Vol.15 (2), p.368-375</ispartof><rights>Springer-Verlag 2004.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-e81b11762e5ef37a49a3b328a21a43a4da51374593a515bddbd90cd9101cb8aa3</citedby><cites>FETCH-LOGICAL-c359t-e81b11762e5ef37a49a3b328a21a43a4da51374593a515bddbd90cd9101cb8aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15490180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bolte, H</creatorcontrib><creatorcontrib>Koch, A</creatorcontrib><creatorcontrib>Tetzlaff, K</creatorcontrib><creatorcontrib>Bettinghausen, E</creatorcontrib><creatorcontrib>Heller, M</creatorcontrib><creatorcontrib>Reuter, M</creatorcontrib><title>Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>This was a controlled cross-sectional study to investigate the prevalence of dysbaric osteonecrosis (DON) in military divers. MRI examinations of the large joints and adjacent bones were performed in a cross-sectional group of 32 highly experienced military divers and 28 non-divers matched for age and anthropometric data. Additional plain radiographs and follow-up controls were performed in all persons with signs certain or suspicious of DON. In two subject groups (one of divers and one of non-divers), lesions characteristic of DON were detected. From this controlled study, it may be concluded that MRI is a highly sensitive method to detect signs of osteonecrosis. It could be shown that the prevalence of bone lesions characteristic of osteonecrosis in highly experienced military divers is not higher than in non-diving subjects of comparable age. The outcome of this comparably small study group fits to the results of previous extensive studies performed with radiographs. The detected low incidence of DON in this collective may be due to the fact that military divers follow stricter selection criteria, decompression schemes and medical surveillance than commercial divers.</description><subject>Adult</subject><subject>Bone lesions</subject><subject>Bones</subject><subject>Cross-Sectional Studies</subject><subject>Decompression</subject><subject>Decompression Sickness - diagnosis</subject><subject>Diving - adverse effects</subject><subject>Group dynamics</subject><subject>Humans</subject><subject>Lesions</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Military</subject><subject>Military Personnel</subject><subject>Necrosis</subject><subject>Occupational Diseases - diagnosis</subject><subject>Osteonecrosis</subject><subject>Osteonecrosis - diagnosis</subject><subject>Osteonecrosis - etiology</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Statistics, Nonparametric</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkMFqHDEMQE1JaDbbfkAvxZBDT5NIY3tsH0vSpoWFXBJ6NJ4ZTXDYtVN7JrB_Xy-7EOhJQnoS0mPsC8I1AuibAiAENACyaaVqG_OBrVCKtkEw8oytwArTaGvlBbss5QUALEr9kV2gkhbQwIr9uaOZhjmkyNPEx33pfQ4DT2WmFGnIqYTCQ-S7sA2zz3s-hjfKhS8lxGe-88-R5spnKin6OBAPtVZbn9j55LeFPp_imj39_PF4-6vZPNz_vv2-aQah7NyQwR5Rdy0pmoT20nrRi9b4Fr0UXo5eodBSWVET1Y9jP1oYRouAQ2-8F2v27bj3Nae_C5XZ7UIZaLv1kdJSnFZSdVp3tpJX_5EvacmxHucEtp3pRNt1lcIjdXi9ZJrca64v5b1DcAfp7ijdVenuIN2ZOvP1tHnpdzS-T5wsi38win0x</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Bolte, H</creator><creator>Koch, A</creator><creator>Tetzlaff, K</creator><creator>Bettinghausen, E</creator><creator>Heller, M</creator><creator>Reuter, M</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7QP</scope></search><sort><creationdate>200502</creationdate><title>Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging</title><author>Bolte, H ; Koch, A ; Tetzlaff, K ; Bettinghausen, E ; Heller, M ; Reuter, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-e81b11762e5ef37a49a3b328a21a43a4da51374593a515bddbd90cd9101cb8aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Bone lesions</topic><topic>Bones</topic><topic>Cross-Sectional Studies</topic><topic>Decompression</topic><topic>Decompression Sickness - diagnosis</topic><topic>Diving - adverse effects</topic><topic>Group dynamics</topic><topic>Humans</topic><topic>Lesions</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Military</topic><topic>Military Personnel</topic><topic>Necrosis</topic><topic>Occupational Diseases - diagnosis</topic><topic>Osteonecrosis</topic><topic>Osteonecrosis - diagnosis</topic><topic>Osteonecrosis - etiology</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bolte, H</creatorcontrib><creatorcontrib>Koch, A</creatorcontrib><creatorcontrib>Tetzlaff, K</creatorcontrib><creatorcontrib>Bettinghausen, E</creatorcontrib><creatorcontrib>Heller, M</creatorcontrib><creatorcontrib>Reuter, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bolte, H</au><au>Koch, A</au><au>Tetzlaff, K</au><au>Bettinghausen, E</au><au>Heller, M</au><au>Reuter, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging</atitle><jtitle>European radiology</jtitle><addtitle>Eur Radiol</addtitle><date>2005-02</date><risdate>2005</risdate><volume>15</volume><issue>2</issue><spage>368</spage><epage>375</epage><pages>368-375</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>This was a controlled cross-sectional study to investigate the prevalence of dysbaric osteonecrosis (DON) in military divers. MRI examinations of the large joints and adjacent bones were performed in a cross-sectional group of 32 highly experienced military divers and 28 non-divers matched for age and anthropometric data. Additional plain radiographs and follow-up controls were performed in all persons with signs certain or suspicious of DON. In two subject groups (one of divers and one of non-divers), lesions characteristic of DON were detected. From this controlled study, it may be concluded that MRI is a highly sensitive method to detect signs of osteonecrosis. It could be shown that the prevalence of bone lesions characteristic of osteonecrosis in highly experienced military divers is not higher than in non-diving subjects of comparable age. The outcome of this comparably small study group fits to the results of previous extensive studies performed with radiographs. The detected low incidence of DON in this collective may be due to the fact that military divers follow stricter selection criteria, decompression schemes and medical surveillance than commercial divers.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15490180</pmid><doi>10.1007/s00330-004-2452-8</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Bone lesions Bones Cross-Sectional Studies Decompression Decompression Sickness - diagnosis Diving - adverse effects Group dynamics Humans Lesions Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Military Military Personnel Necrosis Occupational Diseases - diagnosis Osteonecrosis Osteonecrosis - diagnosis Osteonecrosis - etiology Radiographs Radiography Statistics, Nonparametric |
| title | Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging |
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